Heineke–Mikulicz Strictureplasty
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Heineke–Mikulicz Strictureplasty
Heineke–Mikulicz Strictureplasty is the most common among the conventional strictureplasties. Emmanuel Lee introduced this strictureplasty for the treatment of Crohn's disease in 1976. A similar technique for tubercular strictures of the terminal ileum was reported by RN Katariya et al. in 1977 This technique is similar to a Heineke–Mikulicz pyloroplasty from which it derives its name. The technique is optimal to address short strictures (≤7 cm). This technique is performed by making a longitudinal incision on the antimesenteric side of the bowel, extending from 2 cm proximal to 2 cm distal to the stricture. The enterotomy is then closed in a transverse fashion in one or two layers. Strictureplasties are categorized into three groups: Conventional, intermediate, and complex procedures. The Heineke–Mikulicz strictureplasty is the most common among the conventional stricutreplasties, the Finney strictureplasty Finney strictureplasty is a procedure in gastroe ...
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Strictureplasty
Strictureplasty (also spelled Stricturoplasty) is a surgical procedure performed to alleviate bowel narrowing due to scar tissue that has built up in the intestinal wall from inflammatory bowel conditions such as Crohn's disease. The scar tissue accumulates as a result of repeated damage and healing, with the scarring causing a stricture (a narrowing of the lumen of the bowel). The narrowing can force bowel contents into fissures and ulcers at the site, causing additional damage and narrowing. The surgery restores free flow through the bowel without the need for removing bowel segments (i.e., without bowel resection). The first strictureplasty for Crohn's disease was performed by Emanoel Lee in 1976 and was reported in 1982. The course of the following two decades several papers demonstrated that strictureplasties were safe and effective. Strictureplasties are categorized into three groups: Conventional, intermediate, and complex procedures. The Heineke-Mikulicz Strictureplasty ...
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Crohn's Disease
Crohn's disease is a type of inflammatory bowel disease (IBD) that may affect any segment of the gastrointestinal tract. Symptoms often include abdominal pain, diarrhea, fever, abdominal distension, and weight loss. Complications outside of the gastrointestinal tract may include anemia, skin rashes, arthritis, uveitis, inflammation of the eye, and fatigue (medical), fatigue. The skin rashes may be due to infections, as well as pyoderma gangrenosum or erythema nodosum. Bowel obstruction may occur as a complication of chronic inflammation, and those with the disease are at greater risk of colon cancer and small bowel cancer. Although the precise causes of Crohn's disease (CD) are unknown, it is believed to be caused by a combination of environmental, Immunity (medical), immune, and bacterial factors in genetically susceptible individuals. It results in a Immune-mediated inflammatory diseases, chronic inflammatory disorder, in which the body's immune system defends the gastrointesti ...
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Pyloroplasty
Pyloroplasty is a surgery performed to widen the opening at the lower part of the stomach, also known as the pylorus."Pyloroplasty." ''Pennmedicine.org''. Penn Medicine, 25 Oct. 2014. Web. 5 Oct. 2015. When the pylorus thickens, it becomes difficult for food to pass through. The surgery is performed to widen the band of muscle known as the pyloric sphincter, a ring of smooth, muscular fibers that surrounds the pylorus and helps to regulate digestion and prevent reflux.“Pyloric Sphincter Function.” ''New Health Guide.'' N.p., n.d. Web. 13 Oct. 2015. The widening of the pyloric sphincter enables the contents of the stomach to pass into the first part of the small intestine known as the duodenum. Applications Pyloroplasty can be performed on a narrowed or thickened pylorus, but also on a normal pylorus.Kapoor, Vinay Kumar. "Pyloroplasty Technique." ''Medscape.com''. WebMD LLC, 17 Aug. 2015. Web. 6 Oct. 2015. Pyloroplasty is used to treat those who have complications causing a bl ...
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Enterotomy
Enterotomy is the surgical incision into an intestine. It may be purposeful or a complication of an abdominal surgery, such as exploratory laparotomies or hernia repair Hernia repair is a surgical operation for the correction of a hernia—a bulging of internal organs or tissues through the wall that contains it. It can be of two different types: herniorrhaphy; or hernioplasty. This operation may be performed .... An enterotomy can be done to remove an obstruction or foreign body from the intestine. If an accidental enterotomy is not noticed during surgery, it can take days to become apparent. Surgical repair is required. References Digestive system surgery {{surgery-stub ...
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Finney Strictureplasty
Finney strictureplasty is a procedure in gastroenterology. It is indicated for strictures up to . The Finney strictureplasty is performed by folding the diseased bowel on itself and creating a large opening between the two loops. This strictureplasty Strictureplasty (also spelled Stricturoplasty) is a surgical procedure performed to alleviate bowel narrowing due to scar tissue that has built up in the intestinal wall from inflammatory bowel conditions such as Crohn's disease. The scar tissue a ... can be used to address longer strictures—greater than and not greater than —than those manageable with the Heineke-Mikulicz technique (usually performed for strictures up to 7 cm). The Finney strictureplasty is named after the Finney pyloroplasty, first described in 1937. The strictured loop is folded over itself at its midpoint section, forming a U shape. A longitudinal enterotomy is then performed halfway between the mesenteric and the antimesenteric side on the folded ...
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Abdominal Surgical Procedures
The abdomen (colloquially called the gut, belly, tummy, midriff, tucky, or stomach) is the front part of the torso between the thorax (chest) and pelvis in humans and in other vertebrates. The area occupied by the abdomen is called the abdominal cavity. In arthropods, it is the posterior tagma of the body; it follows the thorax or cephalothorax. In humans, the abdomen stretches from the thorax at the thoracic diaphragm to the pelvis at the pelvic brim. The pelvic brim stretches from the lumbosacral joint (the intervertebral disc between L5 and S1) to the pubic symphysis and is the edge of the pelvic inlet. The space above this inlet and under the thoracic diaphragm is termed the abdominal cavity. The boundary of the abdominal cavity is the abdominal wall in the front and the peritoneal surface at the rear. In vertebrates, the abdomen is a large body cavity enclosed by the abdominal muscles, at the front and to the sides, and by part of the vertebral column at the back. Lowe ...
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